110 TRADE MARKS REGULATIONS, 1970 (L.I. 667) registered in Class ...................................................... of............................................................................ in the name ....................................................................................................................................... .................................................. I (or We) (a) ....................................................................................................................................... ............................. ....................................................................................................................................... .................................................. ....................................................................................................................................... .................................................. hereby request the Registrar to add to the above-numbered entry (ies) of a trade mark in the Register, and to advertise in the Commercial and Industrial Bulletin a note that in (b)........................................................... ....................................................................................................................................... ................................................... ....................................................................................................................................... .................................................... the Court certified that the validity of the said registration(s) came into question and was decided in favour of the proprietor of the trade mark in the terms of the accompanying office copy of the certificate of validity. Dated this ................................................. 19............................................. day of ....................................... (Signature) ....................................................... To The Registrar of Trade Marks, Registrar-General's Department, P.O. Box 118, Accra. ______________ (a) Here state the name and address of the registered proprietor. (b) Here state the nature of the proceedings with the names of the parties to them, which the certificate was given.